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Your First Name
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Your Last Name
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Your email address
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Items purchased:
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Date Purchased
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Expense Category
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Materials and Supplies
Equipment and Software
Publication Costs
Student Enrichment
Other Described Below
Other:
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Reason for purchase:
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Grant to Bill (Please be accurate. See Jack if uncertain. Grant to bill should be established prior to purchase. If your the grant to bill to is unlisted, please DO NOT simply bill to Office or some other grant and attach a note to bill to a different grant. Please notify Matt DesVoigne as to what grant needs to be added. Matt will add the grant. Then fill out the form after the new grant is added.)
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Office 035
iPhone iPad Development 150
NSF CI-Team Computing Matters 425
XSEDE 526
Blue Waters Petascale 631
Blue Waters Petascale Participant 6302
ICLCS 635
HiPop 637
CSERD 642
RTI International 647
Dept Education Computing Matters 725
Museum of Durham History 760
Durham County 790
Non Shodor Workshops 800
Burroughs Wellcome Fund Comp Matters 825
Shodor Workshops 852
Rust Foundation 895
Consulting 942
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Actual Goods and Services Cost
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Sales Tax
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Shipping
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Payment Form:
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Shodor American Express
Shodor Mastercard
Personal Job Reimbursed Expense
Other Described Below
Other Form of Payment:
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Vendor
Vendor Phone
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Purchaser
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Purchasing Manager
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